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John Adams1

  • 1Homerton College, Cambridge School of Health Studies.

Nursing Older People
|October 6, 2016
PubMed
Summary
This summary is machine-generated.

Multidisciplinary team leadership influences patient discharge. Occupational therapist-led teams maximized occupational therapy services and home care, while social worker-led teams offered broader service referrals for older adults.

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Social Work

Background:

  • Healthcare professionals often prioritize organizational needs over patient needs during assessments.
  • A 'needs-led' approach is favored for older adults, but professional agendas can interfere.

Purpose of the Study:

  • To investigate how the leadership of multidisciplinary teams impacts discharge arrangements for older patients.
  • To compare the outcomes of care assessments and service provision based on team leadership.

Main Methods:

  • A comparative experimental study reviewing discharge arrangements.
  • Analysis of services arranged and provided by three distinct multidisciplinary teams (occupational therapist-led, social worker-led, nurse-led).

Main Results:

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  • Occupational therapist-led teams arranged the most occupational therapy services and home care.
  • Social worker-led teams initiated the most care assessments and provided a wider range of services.
  • Nurse-led teams had the lowest referral rates and provided the fewest services post-discharge.

Conclusions:

  • Multidisciplinary team leadership significantly shapes discharge planning and service allocation for older adults.
  • The professional background of the team leader influences the type and extent of services patients receive.
  • Optimizing discharge requires aligning team leadership with comprehensive patient care needs.